Women’s Autonomy and Anemia in Children under Five Years of Age: A Peruvian Population-Based Survey
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Data Source
2.2. Sampling and Data Collection
2.3. Inclusion/Exclusion Criteria
2.4. Variables
2.4.1. Outcome Measures
2.4.2. Exposure
2.4.3. Covariables
2.5. Statistical Analysis
2.6. Ethical Considerations
3. Results
3.1. Characteristics of the Study Population
3.2. Anemia in Children under Five Years of Age
3.3. Level of Mothers’ Autonomy
3.4. Association between the Level of Mother’s Autonomy and the Presence of Anemia in Children under Five Years of Age
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | n | Weighted Proportion * |
---|---|---|
Age of child (in months) | ||
6–23 | 5228 | 32.9 |
24–35 | 3450 | 21.9 |
36–59 | 7137 | 45.2 |
Sex of child | ||
Male | 8048 | 50.9 |
Female | 7767 | 49.1 |
Age of mother (in years) | ||
15–24 | 3421 | 21.2 |
25–34 | 7640 | 47.9 |
35–49 | 4754 | 30.9 |
Ethnicity | ||
Native | 1461 | 9.2 |
Non-native | 14,354 | 90.8 |
Marital status | ||
Married | 4225 | 27.8 |
Cohabitant | 11,590 | 72.2 |
Health insurance | ||
Yes | 14,426 | 91.2 |
No | 1389 | 8.8 |
Number of children | ||
0 | 4010 | 25.4 |
1–3 | 11,397 | 72.1 |
4–7 | 408 | 2.5 |
Number of people in the household | ||
0–4 | 7190 | 45.5 |
5 or more | 8625 | 54.5 |
Area of residence | ||
Urban | 11,083 | 70.1 |
Rural | 4732 | 29.9 |
Wealth quintile | ||
Poorest (Q1) | 4471 | 26.3 |
Poorer | 4335 | 24.8 |
Middle | 3129 | 19.6 |
Richer | 2296 | 16.3 |
Richest (Q5) | 1584 | 13.0 |
Natural region | ||
Coast | 6569 | 52.8 |
Highlands | 5260 | 28.8 |
Jungle | 3986 | 18.4 |
Characteristics | Presence of Anemia | p-Value ** | |
---|---|---|---|
No (n = 10,684) % * (95% CI) | Yes (n = 5131) % * (95% CI) | ||
Total | 69.6 (68.7–70.5) | 30.4 (29.5–31.3) | |
Age of child (in months) | |||
6–23 | 49.9 (48.3–51.6) | 50.0 (48.4–51.7) | <0.001 |
24–35 | 73.4 (71.7–75.2) | 26.5 (24.8–28.3) | |
36–59 | 82.1 (81.0–83.2) | 17.9 (16.8–19.0) | |
Sex of child | |||
Male | 67.5 (66.2–68.8) | 32.5 (31.2–33.8) | <0.001 |
Female | 71.8 (70.5–73.0) | 28.2 (27.0–29.5) | |
Age of mother (in years) | |||
15–24 | 62.4 (60.4–64.3) | 37.6 (35.7–39.6) | <0.001 |
25–34 | 69.7 (68.4–71.0) | 30.3 (29.0–31.6) | |
35–49 | 74.4 (72.9–76.0) | 25.6 (24.0–27.2) | |
Ethnicity | |||
Native | 54.2 (50.9–57.6) | 45.8 (42.4–49.1) | <0.001 |
Non-native | 70.8 (69.8–71.7) | 29.2 (28.3–30.2) | |
Marital status | |||
Married | 74.6 (72.9–76.1) | 25.4 (23.9–27.1) | <0.001 |
Cohabitant | 67.7 (66.6–68.8) | 32.3 (31.2–33.4) | |
Health insurance | |||
Yes | 69.7 (68.7–70.6) | 30.3 (29.4–31.3) | 0.800 |
No | 69.3 (66.2–72.2) | 30.7 (27.8–33.8) | |
Number of children | |||
0 | 72.7 (71.0–74.4) | 27.3 (25.6–29.0) | <0.001 |
1–3 | 68.8 (67.8–69.9) | 31.2 (30.1–32.2) | |
4–7 | 60.1 (53.9–66.0) | 39.9 (34.1–46.1) | |
Number of people in the household | |||
0–4 | 71.0 (69.7–72.3) | 29.0 (27.7–30.3) | 0.007 |
5 or more | 68.5 (67.2–69.8) | 31.5 (30.2–32.8) | |
Area of residence | |||
Urban | 72.9 (71.8–73.9) | 27.1 (26.1–28.2) | <0.001 |
Rural | 61.4 (59.6–63.3) | 38.6 (36.7–40.4) | |
Wealth quintile | |||
Poorest (Q1) | 60.0 (58.2–61.9) | 40.0 (38.1–41.8) | <0.001 |
Poorer | 67.4 (65.6–69.1) | 32.6 (30.9–34.4) | |
Middle | 72.2 (70.2–74.2) | 27.8 (25.8–29.8) | |
Richer | 75.1 (72.7–77.3) | 24.9 (22.8–27.3) | |
Richest (Q5) | 82.4 (80.1–84.6) | 17.6 (15.4–19.9) | |
Natural region | |||
Coast | 75.9 (74.6–77.2) | 24.1 (22.8–25.4) | <0.001 |
Highlands | 61.4 (59.6–63.2) | 38.6 (36.8–40.4) | |
Jungle | 64.4 (62.5–66.3) | 35.6 (33.7–37.5) | |
Women’s Autonomy | |||
Low | 64.9 (63.5–66.3) | 35.1 (33.7–36.5) | <0.001 |
Moderate | 72.5 (71.0–73.8) | 27.5 (26.2–29.0) | |
High | 75.6 (73.5–77.6) | 24.4 (22.4–26.5) |
Characteristics | Women’s Autonomy | p-Value ** | ||
---|---|---|---|---|
High (n = 2567) % * (95% CI) | Moderate (n = 6021) % * (95% CI) | Low (n = 7227) % * (95% CI) | ||
Total | 17.1 (16.3–18.0) | 38.4 (37.3–39.5) | 44.5 (43.3–45.7) | |
Age of child (in months) | ||||
6–23 | 16.9 (15.8–18.1) | 38.9 (37.5–40.4) | 44.2 (42.6–45.7) | 0.617 |
24–35 | 17.5 (15.9–19.3) | 38.7 (36.6–40.9) | 43.8 (41.6–46.0) | |
36–59 | 17.1 (15.8–18.6) | 37.4 (35.8–39.1) | 45.5 (43.7–47.2) | |
Sex of child | ||||
Male | 17.0 (15.9–18.2) | 39.0 (37.5–40.5) | 44.0 (42.5–45.5) | 0.467 |
Female | 17.2 (16.0–18.5) | 37.8 (36.3–39.2) | 45.0 (43.5–46.6) | |
Age of mother (in years) | ||||
15–24 | 12.9 (11.3–14.7) | 36.5 (34.4–38.7) | 50.6 (48.3–52.9) | <0.001 |
25–34 | 17.8 (16.6–19.1) | 40.6 (39.0–42.3) | 41.6 (30.0–43.3) | |
35–49 | 19.0 (17.4–20.7) | 36.2 (34.2–38.2) | 44.8 (42.8–46.9) | |
Ethnicity | ||||
Native | 5.0 (3.6–6.9) | 20.3 (17.4–23.7) | 74.7 (71.0–78.0) | <0.001 |
Non-native | 18.1 (17.1–19.0) | 39.7 (38.6–40.9) | 42.2 (41.0–43.5) | |
Marital status | ||||
Married | 21.9 (20.0–23.9) | 39.4 (37.3–41.6) | 38.7 (36.6–40.9) | <0.001 |
Cohabitant | 15.3 (14.4–16.3) | 38.0 (36.7–39.3) | 46.7 (45.4–48.1) | |
Health insurance | ||||
Yes | 16.9 (16.0–17.9) | 38.0 (36.8–39.1) | 45.1 (43.9–46.4) | <0.001 |
No | 18.8 (16.0–21.9) | 42.2 (38.6–45.8) | 39.0 (35.5–42.8) | |
Number of children | ||||
0 | 21.4 (19.5–23.5) | 40.1 (38.0–42.2) | 38.5 (36.4–40.6) | <0.001 |
1–3 | 16.1 (15.1–17.0) | 38.2 (37.0–39.5) | 45.7 (44.4–47.1) | |
4–7 | 3.4 (1.1–10.2) | 24.8 (18.9–31.7) | 71.8 (64.4–78.2) | |
Number of people in the household | ||||
0–4 | 19.7 (18.4–21.1) | 40.6 (39.0–42.2) | 39.7 (38.1–41.3) | <0.001 |
5 or more | 15.0 (13.9–16.2) | 36.6 (35.1–38.1) | 48.4 (46.8–50.0) | |
Area of residence | ||||
Urban | 22.1 (20.9–23.3) | 44.5 (43.2–45.8) | 33.4 (32.1–34.8) | <0.001 |
Rural | 4.6 (3.8–5.6) | 22.9 (21.1–24.9) | 72.5 (70.3–74.6) | |
Wealth quintile | ||||
Poorest (Q1) | 2.9 (2.3–3.7) | 19.6 (17.8–21.4) | 77.5 (75.6–79.4) | <0.001 |
Poorer | 10.6 (9.4–11.9) | 40.8 (38.8–42.9) | 48.6 (46.4–50.7) | |
Middle | 18.8 (17.1–20.7) | 48.8 (46.3–51.3) | 32.4 (30.1–34.8) | |
Richer | 28.6 (26.0–31.4) | 47.5 (44.7–50.5) | 23.9 (21.5–26.4) | |
Richest (Q5) | 41.1 (37.6–44.8) | 44.6 (41.1–48.1) | 14.3 (12.1–16.8) | |
Natural region | ||||
Coast | 21.1 (19.7–22.6) | 44.3 (42.6–46.1) | 34.6 (32.8–36.4) | <0.001 |
Highlands | 14.4 (13.1–15.8) | 33.7 (31.9–35.5) | 51.9 (49.8–54.1) | |
Jungle | 10.0 (8.9–11.3) | 28.8 (26.7–30.9) | 61.2 (58.8–63.6) |
Variable | Crude | Adjusted * | ||
---|---|---|---|---|
PR (95% CI) | p-Value | aPR (95% CI) | p-Value | |
Autonomy | ||||
High | Reference | Reference | ||
Moderate | 1.13 (1.02–1.25) | 0.015 | 1.03 (0.93–1.13) | 0.567 |
Low | 1.44 (1.31–1.58) | <0.001 | 1.10 (1.00–1.21) | 0.047 |
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Campos-Guerrero, R.; Diaz-Molina, X.G.; Vargas-Fernández, R.; Azañedo, D. Women’s Autonomy and Anemia in Children under Five Years of Age: A Peruvian Population-Based Survey. Nutrients 2023, 15, 3436. https://doi.org/10.3390/nu15153436
Campos-Guerrero R, Diaz-Molina XG, Vargas-Fernández R, Azañedo D. Women’s Autonomy and Anemia in Children under Five Years of Age: A Peruvian Population-Based Survey. Nutrients. 2023; 15(15):3436. https://doi.org/10.3390/nu15153436
Chicago/Turabian StyleCampos-Guerrero, Rosa, Xiomara Genoveva Diaz-Molina, Rodrigo Vargas-Fernández, and Diego Azañedo. 2023. "Women’s Autonomy and Anemia in Children under Five Years of Age: A Peruvian Population-Based Survey" Nutrients 15, no. 15: 3436. https://doi.org/10.3390/nu15153436